Which tests should be considered for trigeminal neuralgia?

 

While trigeminal neuralgia is not typically associated with infectious pathogens as its primary cause, there are some situations in which infections may indirectly contribute to or trigger trigeminal neuralgia symptoms:

Herpes Simplex Virus (HSV): In some cases, herpes simplex virus infection, specifically herpes zoster (shingles), can lead to a condition known as postherpetic neuralgia. This condition can affect the trigeminal nerve if the herpes zoster outbreak occurs on the face. While it's not the same as classic trigeminal neuralgia, the symptoms can be similar, with severe facial pain.

Sinus Infections: Sinusitis or sinus infections can sometimes lead to facial pain, which may be mistaken for trigeminal neuralgia. The pain from sinusitis can radiate to the face and may be sharp or throbbing. Treating the underlying sinus infection can alleviate these symptoms.

Dental Infections: Tooth infections or dental problems can cause facial pain, including pain along the distribution of the trigeminal nerve. In some cases, dental issues may be mistaken for trigeminal neuralgia. Proper dental care and addressing dental infections can help resolve the pain.

Given that chronic, persistent, and hidden infections may contribute to symptomatology, consider the following tests:

  1. Gut Zoomer
  2. Mycotoxins (Note: Mycotoxins are associated with nasosinus biofilms- PMID: 24368325)
  3. Viral Infections 

Additionally, rule out other causes of neuroinflammation, including neural autoimmunity, environmental toxicity, hormone imbalance, and micronutrient insufficiency, deficiency, overload, or toxicity. Consider the following tests:

  1. Neural Zoomer Plus
  2. Total Tox Burden
  3. Saliva or Urine Hormones
  4. Micronutrient Panel
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